2012-13 Kids Company School Age Care

Non School Day Opportunity

Friday, March 8th

Cleary Lake Regional Park

Site(s) open at 6:30 a.m. and close at 6:00 p.m. The late pick-up policy will be enforced. All participants need to be at the site by 9:00 a.m. for the field trip. Approximate return time is 4:00 p.m. *Sites: Falcon Ridge and Eagle View - All Kids Company participants are welcome to attend! Participants need to bring a disposable bag lunch/beverage and outside/winter gear.

Cleary Lake Regional Park

Prior Lake

Kids Company will be going to the Three Rivers Park District: Cleary Lake Regional Park in Prior Lake for a day filled with winter fun! Programming and activities will include maple syruping, cross country skiing, winter survival, animal adaptation, tracking and hiking.

Fee: $38.00/student on or before March 1st $48.00/student after March 1st (if space is available) Fee includes bus transportation, Programming Fees, child care, supplies and breakfast/snacks.

*Dual site availability depends on the number of participants registered by Friday, March 1. Space is limited so reserve your spot today! If you need to cancel, please call 952-758-1735 as soon as possible. Refund amount is determined by funds committed to the event and ability to fill your childs spot. Breakfast & Snack: Kids Company will serve breakfast to those who arrive before 8:30 a.m. and an afternoon snack to those who remain after 4:15 p.m.

2012-13 Kids Company School Age Care

Non School Day Opportunity

Registration Deadline: Friday, March 1

Student Name: Parent Name(s): Address: Work Phone: E-Mail : Cell Phone: Special Needs? If yes, please describe below.
(If your child requires special support during the school day, a participation plan should be discussed with Kids Company Program Coordinator at 952-758-1735 in order to provide the most appropriate level of care.)

Grade: City/ZIP:

Friday, March 8th Three Rivers Park District: Cleary Lake Regional Park, Prior Lake *Preferred Site: Approx Arrival Time: Eagle View Falcon Ridge Approx Departure Time:

Payment Information Total Due: Payment Method:

(prepayment required)

$38/student on or before 3/1/13;

$48/student after 3/1/13 (if space is available)

Online Account www.np.k12.mn.us/commed/kidsco Check # _______ Credit Card Info Below (Visa or MasterCard) Exp Date: __ __ / __ __

Card Number: Security Code:

__ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ __ __ __ Name on Card:

Signature (print form and sign): Outstanding balances on Kids Company accounts must be paid in full to participate in Non School Day Opportunities.

The next Kids Company Non School Day Opportunity will be May 10th (if not needed for snow make up).

Return completed form by Friday, March 1 to any Kids Company site or to Community Education, 420 Central Avenue North, New Prague, MN 56071